Healthcare Provider Details

I. General information

NPI: 1205200656
Provider Name (Legal Business Name): KAREN SCHROEDER FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2015
Last Update Date: 04/10/2023
Certification Date: 04/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1150 HANLEY INDUSTRIAL CT
BRENTWOOD MO
63144-1910
US

IV. Provider business mailing address

1150 HANLEY INDUSTRIAL CT
BRENTWOOD MO
63144-1910
US

V. Phone/Fax

Practice location:
  • Phone: 314-446-2539
  • Fax:
Mailing address:
  • Phone: 314-446-2539
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number2015034751
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: